HomeMy WebLinkAbout1985-5823 - re-roof CITYof ORONO _ _ _ _.
Building Permit PERMIT NO. 582� � �
AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED ��j r�I'�
P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357
ZONING DISTRICT ��
SITE ADDRESS •
PROPERTY IDENTIFICATION NO.(PID) � � � — cJ� �G� ��
FIRE DEPARTMENT LOT BLOCK SUBDIVISION
POST OFFICE OWNER (Name (Addre Phone)
c�� Io� �� .t����'<
VAR. DATE ARCHIT /ENGINEER- Must Certify Multi-Family,Commercial 8 Industrial Construction Plans
(Firm) (Address) (Phone)
COND. USE DATE
LOT AREA BUILDER (Firm) (Address) (Phone)
WIDTH H ��
E OF ORK New Addition Remodel Renovat
PROPOSED S:
FRONT R. I �_�
CONST.TYPE BUILDING SIZE imated Construction Valuation
REAR S�I E
L. W. Ht. 0 �O�
LAKE W ANDS
OCCUPANCY PERMIT FEES
CLASSI FICATIO N �� ��
ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT �'�c7 .
UNITS STATE FEE r�
NEW XISTING GAR.STALLS NUMBER OF BEDROOMS
AGENCY-AP R V. DATE ATT. PLAN REVIEW
CITY DET. SEPTIC
APP. DATE SAC CHARGE
COUN PROPOSED USE SEWER UNIT
STATE PARK FEE
PENALTY
PRIVATE EASEMENT COUNCIL
APP. DATE OTHER
TOTAL DUE �J
REMARKS: . (
WORK REQUIRIIVG ACKNOWLEDGEMENT
INSPECTION REGIUIRED SEPARATE PERMITS
❑ ...... FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE
❑ ...... FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES
❑ ...... INSULATION WIECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT-
❑ . WALLBOARD before taping ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE-
...
...... FINAL before occupancy
WELL........................
�......SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER-
WORK BEYOND OR WITHOUT A RE- SEWER.............................. � SIGNED FURTHER AGREES TO DO ALL WOR IN STRICT COM-
QUIRED INSPECTION WILL BE SUB- P�IANCE wIT LL CI OF ORON DI NCES AND STATE
JECT TO PENALTY. WATER.............................. ❑
GRADING&FILLING ............... ❑
OF M SOTA I�IL NG CODE R NTS.
INSPECTIONS MUST BE CALLED-IN
24 HOURS IN ADVANCE. FIRE....:............................ ❑ /D �/ �
Signat Date
COPY:WHITE-FILE GREEN-FINANCE ,I
CANARY-INSPECTOR GOLD-RECEIPT G��,1{��.
PINK-ASSESSOR Approved i of Or
BrooklYn Prtg.&Adv.Co.Inc. (812)6814470
DATE TIME
CITY OF ORONO CALLED IN - ___ __ —_.__
INSPECTION NOTICE scHE�u�E� ___ __ _ _.
PERMIT NO. COMPLETED IO_31=FSS �'�7
ADDRESS �/33C� No�Ti� S�(�2 d��v�.
OWNER CONTR.
TELEPHONE NO.
:J FOOTING ❑ PLUMBING RI ❑ SITE INSPECTION
❑ FRAMING 7 PLUMBING FINAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ MECHANICAL ❑ LAKESHORE/WETLANDS
� � WALL BD. ❑ WATER HOOKUP ❑ LICENSING
lt� � F�NAL ❑ METER SET/TURN ON ❑ COMPLAINT
� ❑ PROGRESS ❑ SEWER HOOKUP ❑ FOLLOW-UP
y ❑ DEMOL. ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
Q � FIRE PREV. ❑ SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER
� ❑ WELL TEST PUMP ❑ ___. __
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Q ❑ CORRECT WORK 8 PROCEED
U ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
'7 CO RECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WI�L RETURN.
�2�5 OP ORDER POSTED.CALL INSPECTOR.
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on s'
I nspector� 473'1 1
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White Copy/Inspector's File Gold Copy/Site Notice